Getting the diagnosis right
An excisional lymph node biopsy is preferred over needle aspiration because it preserves tissue architecture and allows immunohistochemistry, flow cytometry and molecular studies. Subtype classification matters: indolent lymphomas may be observed, while aggressive lymphomas need prompt treatment.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Staging and treatment
PET-CT stages most lymphomas and assesses response. Treatment may include chemoimmunotherapy, radiotherapy, targeted therapy, autologous transplant or CAR-T. The plan is discussed with benefits, expected side effects and supportive-care needs.
- Excisional biopsy and expert pathology review
- PET-CT staging and response assessment
- Chemoimmunotherapy and targeted therapy
- Autologous transplant for selected relapsed disease
- CAR-T eligibility assessment
Where to seek care
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Bring the biopsy report, imaging and prior treatment records to the consultation.